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Remote Managed Care Jobs in Arizona (NOW HIRING)

Pharmacy Careers

Appeals Pharmacist (Remote)

Phoenix, AZ · On-site +1

$57 - $69.50/hr

Appeals Pharmacist - Ensure Fair Medication Access for Patients A confidential managed care ... Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive ...

Pharmacy Careers

Appeals Pharmacist (Remote)

Yuma, AZ · On-site +1

$49.25 - $60/hr

Appeals Pharmacist - Ensure Fair Medication Access for Patients A confidential managed care ... Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive ...

MediTrans, LLC

Care Coordinator I - Dental

Paradise Valley, AZ · On-site +1

$19.50 - $26.25/hr

Care Coordinator I We've been helping people get back to work and life since 1992 Salary Range ... Manager of Operations Location: Remote/In Office Hybrid and on-site work in Pompano Beach Florida ...

MediTrans, LLC

Care Coordinator I - DME

Paradise Valley, AZ · On-site +1

$19.50 - $26.25/hr

Care Coordinator I We've been helping people get back to work and life since 1992 Salary Range ... Operations Manager Location: Remote/In Office Job Type: Full-Time FLSA Status: Non-Exempt Hybrid ...

Urrly

Care Navigator - Remote

Phoenix, AZ · Remote

Care Navigator * Location/Type: U.S. Remote (PST hours) * Pay: $46,000 salary (CA: ~$25/hr ... Clear path to Lead or Manager-performance-based, not time-based. Motivation fit You like structured ...

Valeris

Remote Field Reimbursement Manager

Phoenix, AZ · Remote

As a Remote Field Reimbursement Manager you will help support patient access to critical therapies ... Maintain current knowledge of managed care, reimbursement trends, and relevant healthcare policies ...

Arizona Department of Administration

$71.03K/yr

Public Healthcare Consultant Job No: 539640 Work Type: Full-time Location: REMOTE OPTIONS, PHOENIX ... Remote work is a management option and not an employee entitlement or right. An agency may ...

Molina Healthcare

Care Review Clinician (RN)

Mesa, AZ · Remote

$26.41 - $51.49/hr

Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ... Ability to prioritize and manage multiple deadlines. Excellent organizational, problem-solving and ...

Molina Healthcare

Care Review Clinician (RN)

Gilbert, AZ · Remote

$26.41 - $51.49/hr

Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ... Preferred Qualifications • Certified Professional in Healthcare Management (CPHM). • Recent ...

Molina Healthcare

Care Review Clinician (RN)

Chandler, AZ · Remote

$26.41 - $51.49/hr

Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ... Ability to prioritize and manage multiple deadlines. Excellent organizational, problem-solving and ...

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Remote Managed Care information

See Arizona salary details

$55.9K

$82.7K

$115.6K

How much do remote managed care jobs pay per year?

As of May 28, 2026, the average yearly pay for remote managed care in Arizona is $82,705.00, according to ZipRecruiter salary data. Most workers in this role earn between $67,600.00 and $96,400.00 per year, depending on experience, location, and employer.

What is a Remote Managed Care job?

A Remote Managed Care job involves overseeing healthcare services, cost management, and patient care coordination from a remote location. Professionals in this role work with insurance providers, healthcare facilities, and patients to ensure efficient and cost-effective care. Responsibilities may include reviewing treatment plans, managing claims, and ensuring compliance with healthcare regulations. Remote Managed Care positions are common in insurance companies, hospitals, and telehealth organizations, requiring strong communication and analytical skills.

What are the key skills and qualifications needed to thrive in the Remote Managed Care position, and why are they important?

To thrive in a Remote Managed Care role, you need a solid understanding of healthcare administration, insurance processes, patient advocacy, and compliance — usually demonstrated by relevant experience or a degree in healthcare or business. Familiarity with managed care software platforms, claims management systems, and relevant certifications such as Certified Case Manager (CCM) or Certified Professional in Healthcare Management (CPHM) are often required. Strong communication, time management, and problem-solving skills set top performers apart in this position. These skills are critical for effectively coordinating patient care, ensuring regulatory compliance, and delivering excellent service while working remotely.

What are the typical daily responsibilities for someone working in a Remote Managed Care position?

In a Remote Managed Care role, your primary daily tasks often include coordinating care plans, reviewing healthcare claims, ensuring members receive appropriate medical services, and communicating with providers, patients, and insurance companies. You may spend much of your day using online platforms to track cases, resolve billing issues, and document patient interactions. Collaboration with clinical teams, providers, and case managers is common to address patient needs and ensure the quality and cost-effectiveness of care. Working remotely requires a high level of self-motivation and strong organizational skills, as you’ll manage your caseload with minimal direct supervision.
More about Remote Managed Care jobs
What are the most commonly searched types of Managed Care jobs in Arizona? The most popular types of Managed Care jobs in Arizona are:
What are popular job titles related to Remote Managed Care jobs in Arizona? For Remote Managed Care jobs in Arizona, the most frequently searched job titles are:
What job categories do people searching Remote Managed Care jobs in Arizona look for? The top searched job categories for Remote Managed Care jobs in Arizona are:
What cities in Arizona are hiring for Remote Managed Care jobs? Cities in Arizona with the most Remote Managed Care job openings:
Remote Managed Care jobs near you
Infographic showing various Remote Managed Care job openings in Arizona as of May 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $82,705 per year, or $39.8 per hour.
Integrated Care Manager - Remote

Integrated Care Manager - Remote

Blue Cross Blue Shield of Arizona

Phoenix, AZ • On-site, Remote

Full-time

Medical

Posted 14 days ago

Blue Cross Blue Shield Of Arizona rating

6.0

Company rating: 6.0 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

240th of 258 rated insurance

Job description

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.
At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements:
  • Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week
  • Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week
  • Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month
  • Onsite: daily onsite requirement based on the essential functions of the job
  • Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building

Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week.
This remote work opportunity requires residency, and work to be performed, within the State of Arizona.
Purpose of the job
Responsible for promoting continuity of care through a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates care options and services available to members through their benefit plan that meet the individuals' health care needs while promoting quality, cost effective outcomes. This job description is primary for case management functions but can assist with utilization management if a business need arises.
Qualifications
REQUIRED QUALIFICATIONS
Required Work Experience
  • 2 year(s) of experience in full-time equivalent of direct clinical care to the consumer

Required Education
  • Associate's Degree in general field of study or Post High School Nursing Diploma or Master's Degree in a behavioral health field of study (i.e., MSW, MA, MS, M.Ed.), Ph.D. or Psy.D

Required Licenses
  • Active, current, and unrestricted license to practice in the State of Arizona (or an endorsement to work in Arizona) as a behavioral health professional such as LCSW, LPC, LISAC LMFT, or licensed psychologist (Psy.D. or Ph.D.), OR an active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN.

Required Certifications
  • Within 4 years of hire as a Care Manager employee must hold a certification in case management from the following certifications; Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC).

PREFERRED QUALIFICATIONS
Preferred Work Experience
  • 3 year(s) of experience in full-time equivalent of direct clinical care to the consumer (managed care CM experience preferred)
  • 1-2 year (s) of experience working in a managed care organization
Preferred Education
  • Bachelor's Degree in Nursing or Health and Human Services related field of study
Preferred Licenses
  • N/A
Preferred Certifications
  • Active and current certification in case management from the following certifications; Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC).
ESSENTIAL job functions AND RESPONSIBILITIES
  • Assess and collect data related to the member from all care settings. Interview and collaborate with case-related providers, member and family to implement the care plan.
  • Answer a diverse and high volume of health insurance related customer calls on a daily basis.
  • Explain to customers a variety of information concerning the organization's services, including but not limited to, contract benefits, changes in coverage, eligibility, claims, BCBSAZ programs, provider networks, etc.
  • Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of benefit requests.
  • Present status reports on all cases to the manager/supervisor and, when indicated, to the medical director.
  • Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries.
  • Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines.
  • Maintain all standards in consideration of state, federal, BCBSAZ, URAC, and other accreditation requirements.
  • Maintain complete and accurate records per department policy.
  • Demonstrate ability to apply plan policies and procedures effectively.
  • When indicated to assist with team/project functions:
    • Collaborate with team to distribute workload/work tasks;
    • Monitor and report team tasks;
    • Communicate team issues and opportunities for improvement to supervisor/manager;
    • Support/mentor team members.
  • Participate in continuing education and current development in the field of medicine, behavioral health and managed care at least annually.

  • The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.
  • Perform all other duties as assigned.

competencies
REQUIRED COMPETENCIES
Required Job Skills
  • Intermediate PC proficiency
  • Intermediate skill in use of office equipment, including copiers, fax machines, scanner and telephones
  • Intermediate skill in word processing, spreadsheet, and database software

Required Professional Competencies
  • Maintain confidentiality and privacy
  • Advanced and current clinical knowledge
  • Practice interpersonal and active listening skills to achieve customer satisfaction
  • Interpret and translate policies, procedures, programs, and guidelines
  • Capable of investigative and analytical research
  • Demonstrated organizational skills with the ability to priortize tasks and work with multiple priorities
  • Follow and accept instruction and direction
  • Establish and maintain working relationships in a collaborative team environment
  • Apply independent and sound judgment with good problem solving skills
  • Navigate, gather, input, and maintain data records in multiple system applications

Required Leadership Experience and Competencies
  • Conflict Resolution
  • Represent BCBSAZ in the community

PREFERRED COMPETENCIES
Preferred Job Skills
  • Advanced PC proficiency
  • Knowledge of CPT 2018 and ICD-10 coding

Preferred Professional Competencies
  • Knowledge of managed care, utilization management, and quality management
  • Working knowledge of McKesson InterQual, MCG, ASAM, or other nationally recognized criteria
  • Knowledge of a wide range of matters pertaining to the organizations services and operations
  • Knowledge of health and/or patient education and behavior change techniques

Preferred Leadership Experience and Competencies
  • N/A

Our Commitment
AZ Blue does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.
Thank you for your interest in Blue Cross Blue Shield of Arizona. For more information on our company, see azblue.com. If interested in this position, please apply.

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